Get the free USD 259 Concussion Return to Play Form - kshsaa

USD 259 Concussion Return to Play Form This form is adapted from the Acute Concussion Evaluation (ACE) care plan on the CDC website (www.cdc.gov/injury). All medical providers are encouraged to review

How to fill out usd 259 concussion return

How to fill out USD 259 concussion return:

1. Obtain the USD 259 concussion return form from your school or athletic department.
2. Read through all the instructions and information provided on the form to understand the requirements and guidelines for filling it out.
3. Provide your personal information, including your full name, date of birth, and contact details, in the designated sections of the form.
4. Indicate the date and location of the injury or concussion that requires you to complete the USD 259 concussion return.
5. Provide detailed information about the symptoms you experienced as a result of the concussion, including any physical, cognitive, or emotional effects.
6. If applicable, include information about medications or treatments you received for the concussion.
7. If you sought medical attention for the concussion, provide the name and contact details of the healthcare professional who treated you.
8. Sign and date the concussion return form to certify that all the information provided is true and accurate.
9. Submit the completed form to the appropriate authorities or personnel, as instructed on the form.

Who needs USD 259 concussion return:

1. Student athletes who have suffered a concussion during a USD 259 school-sanctioned sporting activity or event.
2. Parents or guardians of student athletes who are minors and have sustained a concussion in a USD 259 school-sanctioned sporting activity or event.
3. Coaches, trainers, or other personnel involved in USD 259 sports programs who are responsible for ensuring that concussion returns are properly filled out and submitted.

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What is usd 259 concussion return?

The USD 259 concussion return is a form used to report concussions among students in the USD 259 school district.

Who is required to file usd 259 concussion return?

Coaches, school nurses, and other staff members who suspect a student may have suffered a concussion are required to file the USD 259 concussion return.

How to fill out usd 259 concussion return?

The USD 259 concussion return must be filled out by providing details about the student, the suspected concussion incident, and any actions taken following the incident.

What is the purpose of usd 259 concussion return?

The purpose of the USD 259 concussion return is to track and monitor concussions among students in order to ensure appropriate care and support.

What information must be reported on usd 259 concussion return?

Information such as student name, date of birth, date of incident, symptoms observed, and medical evaluation details must be reported on the USD 259 concussion return.